UNDIAGNOSED OTITIS MEDIA WITH EFFUSION IN CHILDREN: INCIDENCE & EFFECT

Background-Otitis media with effusion leads to hearing loss which may significantly compromise the cognitive, linguistic and emotional development of children. It usually goes undiagnosed because the children do not have any complaints and the next of kin do not notice any symptoms such as hearing loss. Methods-411 children of the age group 5-8 years from various camps conducted in sub-urban areas of Ajmer, Rajasthan were subjected to complete ear, nose throat examination in the period of June 2018 to December 2018.27 children were excluded on the basis of exclusion criteria and 384 children were then considered for the study. Hearing assessment was done by tuning fork test & those who had a hearing loss were than subjected to pure tone audiogram and tympanometry at our center. An interview was done with the parents of these children to acquire information about the academic and social behavior of these children with the help of a questionnaire. Results- 89 (21.30%) children were suffering from otitis media with effusion and 26 (6.77%) children had Eustachian tube blockage which is a precursor to otitis media with effusion. Almost all of these children were poor in social and academic performance. Conclusion- The high incidence of undiagnosed otitis media with effusion warrants an awareness program for parents and teachers and also if possible a regular screening program for children. Key words: otitis media with effusion, serous otitis media, conductive hearing loss.

ANALYSIS OF TREAMENT RESULTS FOR OTITIS MEDIA AFTER ADENOIDECTOMY IN CHILDREN

Otitis media and adenoid infection are popular with children. Chronic adenoid is considered as a cause to otitis media in children because infection in adenoid is likely to bring bacteria into middle ear through eustachian tube. Adenoidectomy is regarded as both a treatment measure and a prevention of complications caused by adenoid infection. Objectives: To find out any relations between otitis media and adenoid infection, eveluate the effectiveness of adenoidectomy in otitis media. Subjects and Methods: 54 patients with otitis media and adenoid infection that were diagnosed and treated at the University Hospital of the Faculty of Medicine and Pharmacy in Hue from Apr-2014 to Jun-2015. A descriptive, prospective study was conducted with clinical intervention. Results: There are relations between the frequency of adenoid infection and otitis media, yet no relations have been found between level of size of adenoidand otitis media. After adenoidectomy, 76.7% of the patients recovered from recurrent otitis media, 82.9% of the patients recovered from otitis media with effusion, 100% of the patients suffering with chronic otitis media got stable. Conclusion: There are relations between the frequency of adenoid infection and otitis media. The size of adenoid is not relevant to otitis media. Adenoidectomy has positive impact on the treatment of otitis media. Key words: Otitis media, adenoidectomy.

Prevalence of otitis media with effusion among school going children in Bangladesh

A Prospective study was carried out from Jan 2000 Jan 2003, to find out the prevalence of OME among School children The study was done in Dhaka City and adjacent areas of Dhaka City in Savar, Munshigonj and Keranigonj, Altogether 280 Students aged 4-9 years were interviewed and examined. Nineteen percent children were found to have OME. In the urban community it was 17%, but in rural areas it was 21%. In our study children with OME were more in poorer people, smoker parents and bottle fed babies. Key words: Otitis media with effusion (OME), school children.DOI: 10.3329/bjo.v15i1.4308 Bangladesh J of Otorhinolaryngology 2009; 15(1): 31-34